37-060 (9) — s� o�
PERMIT APPLICATION CHECK LIST
PAGM YES NO DATE
1
2 .
3 . OWNER OCCUPANT STATEMENT IF NOT
4 . 3 SETS OF LOT PLAN
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5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER AVAILABILITY FORMS
8 ,
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNI
12 . PERMIT FEE — CHECK ONLY — MONEY ORDE c,
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 0,6 ti 19ly— Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location d- G u i' S i Lot No.
2. Owner's name , � T � S7 Address 7A 1 Co u-T 0 T A
3. Builder's name (y A.�-TP— A /II AP,F/< L/ k Address 9 V T/J A G-Ca /,IC-i^)
Mass.Construction Supervisor's License No. 0 ON 1 5-1 101-N 13 Expiration Date G
r �
4. Addition
5. Alteration NA n.,0 G9 P Am P 3 /oc O r- ,JG U S
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire ,�/.E w t= uo �' S'� 1�` w o c, r /ru y�.�. /J f n 0 G K
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cos f,�i�®-#too �u
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belie(.
S,gnaw,e of sponsible appicant
Remarks TL' r 0 4r L rj 1'/ 7/ y'. E I /` /-
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Date Filed ` File No.
ZONING PERMIT APPLICATION
I . Name of Applicant: ZVAZ.TP-
Address : £{r/ Telephone: a G8�0o 9
2 . Owner of Property: 7T I h,7,y
Address:-' 2 .7,2 ET' Telephone., 6,2 1 c-
3 . Status of Applicant: Owner contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcel# '� r
Zoning District(s) (include over ys)
Street Address VA
Required
5 . Existin Proposed by Zoning
Use of Structure/Property
(if project is only, interior work, skip to #6)
Building height
ldg. Coverage (Footprint)
Setbacks - front
- side L: R. L: R:
- rear r '
size
Frontage.
Floor Area Ratio r
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/ ro ect: (Use additional sheets
if necessary) /' 1=
AJovsl�=
7 . Attached Plans: _Sketch Plan Site Plan
8 . certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: " r Applicant's Signature:
r THIS BEOTION FOR OFFICIAL USE ONLY.
Approved as presented/based on information presented
Denied as presented--Reason:
Special* Permit and/or Site Plan Required:
Finding Required: Variance Required:
� ,
Signature of Building nspector Date
NOTE: issuance of a zoning Permit does not relieve an applicant's burden to comply Wrtli all zoning requirements and obtain all required permits
from the Board of Health.Conservation commission, Doparimont of Public Works and other applicable permit granting authorities.
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